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Using hairy and non-hairy retroauricular-temporal composite flap in facial reconstruction
Abdoljalil Kalantar-Hormozi1, Shahriar Loghmani, Sadroallah Motamed
1Department of Plastic Surgery, Shaheed Beheshti Medical University, Tehran, Iran. Kalantarj@yahoo.com
Background:
The authors describe their experience with the retroauricular temporal flap in facial reconstruction.
Methods:
Twenty-two (20 females, 2 males) patients with composite tissue defect of various areas of the face have been esthetically reconstructed with a modified Washio flap. This flap is a good choice for facial reconstruction, due to its color match, reliability, feasibility, and potential for modification including elements such as skin, hair, and cartilage. The donor site is inconspicuous.
Results:
The 22 patients in this report underwent reconstruction without flap loss.
Conclusion:
The Washio flap, with different modifications, is a useful technique for reconstruction of facial defects which may include hairy and non-hair bearing skin, preferably not larger than 7x5 cm in size, and particularly in young patients.